目的探讨孕期心理健康教育联合护理干预对产后抑郁的预防效果。方法选取2013年12月至2014年12月在我院分娩的180例孕妇,按照随机数表法将他们分为观察组(90例)和对照组(90例),对照组孕妇在孕期进行常规干预,观察组孕妇在此基础之上进行心理健康教育联合护理干预,对所有的孕妇在孕期中每月进行一次随访,产前产后均对孕妇进行HAMD评分和SDS评分。结果干预后,观察组汉密尔顿抑郁量表(HAMD)评分和抑郁自评量表(SDS)评分(12.67±1.89、36.19±4.09)分低于对照组(14.81±2.09、38.65±7.21)分,差异具有统计学意义(P<0.05);干预后,观察组产后14天和28天发生抑郁症情况3.33%(3/90),2.22%(2/90)小于对照组15.56%(14/90),14.44(13/90),两组比较,具有统计学意义(P<0.05);干预后,观察组产妇对护理的满意度(98.89%)也明显的高于对照组(84.44%),两组比较,具有统计学意义(P<0.05);观察组产孕妇孕期不同时间段焦虑症发生的情况与对照组相比,无统计学意义(P>0.05)。结论对孕妇孕期进行心理健康教育并且联合护理干预,能够有效减少产后抑郁症的发生。 Objective To explore the preventive effect of pregnancy and psychological health education combined with nursing intervention on postpartum depression. Methods 180 pregnant women delivered in our hospital from December 2013 to December 2014 were divided into the observation group (90 cases) and the control group (90 cases) according to the random number table method. The pregnant women in the control group underwent routine On the basis of this, pregnant women in the intervention group were given mental health education combined with nursing intervention. All pregnant women were followed up every month during pregnancy. HAMD and SDS scores were applied to pregnant women before and after giving birth. Results After the intervention, the HAMD scores and SDS scores (12.67 ± 1.89,36.19 ± 4.09) in the observation group were lower than those in the control group (14.81 ± 2.09,38.65 ± 7.21) (3/90), 2.22% (2/90) were less than 15.56% (14/90) of the control group after the intervention in the observation group on the 14th day and the 28th day after delivery, respectively (P <0.05) , 14.44 (13/90) respectively. The two groups were statistically significant (P <0.05). After the intervention, the satisfaction rate of the nursing group to the nursing group (98.89%) was also significantly higher than that of the control group (84.44% (P <0.05). There was no significant difference between the observation group and the control group in the incidence of anxiety during pregnancy at different time points during pregnancy (P> 0.05). Conclusion Pregnancy pregnant women mental health education and joint nursing intervention can effectively reduce the incidence of postpartum depression.